夜間頻尿的中醫療法病案報告

Treatment of Nocturia by Traditional Chinese Medicine: A Case Report

黃天姮(Tien-Heng Huang) ； 陳怡真(Yi-Chen Chen)

《中醫藥研究論叢》 23卷1期 (2020/03) Pp. 177-183

https://doi.org/10.6516/TJTCM.202003_23(1).0014

摘要

夜尿（nocturia），指夜間醒來小便。長期夜間頻繁起床解尿，中斷了正常睡眠，影響生活品質。本篇病案是一位67歲女性患者以夜尿、雙膝關節疼痛為主證。患者至西醫檢查無器質性病變後，建議觀察追蹤。從臟腑別通和臟腑氣化關聯的思路，予以羌活勝濕湯，改善了患者夜尿的困擾。民眾可能會誤以為夜尿是老化現象，而忽略其潛在的危機。惱人的夜尿問題除了影響睡眠品質之外，可能會提高抑鬱症、某些慢性疾病的風險。

關鍵字

夜尿 ； 臟腑別通 ； 羌活勝濕湯

並列摘要

Nocturia is defiend to wake up at night and on the regular basis to urinate. Waking up and urinating during the night for long time disrupt the person's normal sleep and influence the quality of life. This case reports demonstrates a 67-year-old female with nocturia and bilateral knee pain for long time. After taking examination and making sure that no organic disease, the doctor recommends observation and tracking. This article is based on the theory of Zang-fu extra-ordinary connection(臟腑別通), in order to explore the relationship of Qi transformation between Zang(臟)and Fu(腑). This case was given the Qiang Huo Sheng Shi Tang(羌活勝濕湯)to improve the patient's long-term nocturia. People may mistakenly believe that nocturia is an aging phenomenon and ignore its potential crisis. The problem of annoying nocturia, in addition to affecting sleep quality, may increase the risk of depression and certain chronic diseases.

並列關鍵字

nocturia ； Zang-fu extra-ordinary connection ； Qiang Huo Sheng Shi Tang

參考文獻

Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/ International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 2010; 21: 5.

Tikkinen KA, Johnson TM 2nd, Tammela TL, et al. Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland. Eur Urol 2010; 57: 488.

Tikkinen KA, Tammela TL, Huhtala H, Auvinen A. Is nocturia equally common among men and women? A population based study in Finland. J Urol 2006; 175: 596.

Fitzgerald MP, Litman HJ, Link CL, et al. The association of nocturia with cardiac disease, diabetes, body mass index, age and diuretic use: results from the BACH survey. J Urol 2007; 177: 1385.

Obayashi K, Saeki K, Negoro H, Kurumatani N. Nocturia increases the incidence of depressive symptoms: a longitudinal study of the HEIJO-KYO cohort. BJU Int 2017; 120: 280.